Active NPIIndividual providerSole proprietor

Nicole Bennett, RD

Dietitian, Registered in Montclair, New Jersey

NPI Number1215569637
Practice location
16 Central Ave # L, Montclair, NJ 07042-2911
Fax
—
Last updated
November 17, 2020

Nicole Bennett is a Dietitian, Registered based in Montclair, NJ. Nicole Bennett practices in Montclair, NJ and has the professional credentials of RD. The NPI Number for Nicole Bennett is 1215569637. The current practice location address for Nicole Bennett is 16 Central Ave # L, Montclair, NJ 07042-2911 and can be reached out via phone at 973-452-2303.

Provider Profile Details

NPI Number
1215569637
Provider Name
Nicole Bennett
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
16 Central Ave # L, Montclair, NJ 07042-2911
Phone Number
973-452-2303
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 5, 2020
Last Update Date
November 17, 2020
Certification Date
November 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Central Ave # L
Montclair, NJ 07042-2911
Zip
07042-2911
Phone Number
973-452-2303
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
16 Central Ave # L
Montclair, NJ 07042-2911
City
Montclair
State
NJ
Zip
07042-2911

License Information

License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Bennett, RD?

The NPI number of Nicole Bennett, RD is 1215569637. It was assigned on February 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Nicole Bennett, RD?

Nicole Bennett, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Nicole Bennett, RD practice?

The practice location is 16 Central Ave # L, Montclair, NJ 07042-2911. The office can be reached at 973-452-2303 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215569637 directly on the NPPES registry website.

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